Sr. Optum Configuration Analyst Consultant

posted on December 14, 2018

Job Description

Location: St. Louis, MO

Duration: 6+ Months

Required Qualifications:

  • Institutional and Professional Claims processing experience
  • 5+ years of system configuration experience or facets claims experience at a health plan or delegated entity
  • Coding experience in one or more of the following: CPT, HCPCS, ICD9 / ICD10, Revenue, DRG or other relevant medical and industry – standard codes

Preferred Qualifications:

  • Bachelor’s Degree
  • 5+ years of facets configuration experience
  • Experience with Facets data model
  • Experience working with supporting tools from Trizetto and other vendors such as CMU, EncodePro etc.
  • Knowledge of Medicare Pricing
  • Experience building and running SQL queries using tools such as MS Access, Query Builder, or similar
  • Knowledge of supporting tools from Trizetto and other vendors such as CMU, EncodePro, or similar

 

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